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The Endocrine System Rachel R. Gabie F. Kyle B. Steffanie M. The Endocrine System   responsible for keeping balance and maintaining homeostasis in the body. important for regulating       mood growth and development tissue function metabolism sexual functions and reproductive processes within the body. must respond to constant changes in external environment with the regulation of the internal processes inside the body.   feedback loops release of hormones Parts: HORMONES   produced and secreted by Endocrine Glands chemicals in the body that carry messages and information to and from target cells  hormones and target cells have receptors  allow the hormone to latch onto specific cells and the cell to recognize the corresponding hormones  when hormones attach to a cell they:  Activate or inactivate enzymes  Stimulate genetic material (production of enzymes and proteins)  Change the permeability of cells Parts: ENDOCRINE GLANDS   specialized group of cells that produce and secrete hormones glands are ductless (no tubes) releasing hormones directly into bloodstream Gland Hormone Hypothalamus Links nervous system and endocrine system Chemicals control production and secretion of hormones in pituatiry gland Controls feelings of hunger and thirst, emotions and behaviors Maintains body temp., water balance, and blood pressure Pituitary “the master gland” Anterior lobe regulates thyroid, adrenal and reproductive glands Posterior lobe balance of water in the body Function Thyroid stimulating hormones (TSH) Regulates production and secretion of thyroid hormones Growth hormone Oversees growth, development and protein production Cortiotropin Regulates production and secretion of adrenal (cortex) hormones Endorphins Reduces feelings of pain Antidiuretic hormone Control blood pressure and water retention in kidneys Oxytocin Contraction of uterus during pregnancy Prolactin Initiates milk production Thyroid gland Contains iodine Thyroid hormones Regulates metabolism growth, maturation, body temp. and weight Parathyroid Parathyroid hormones Bone formation, excretion of calcium and phosphorous Gland Hormone Function Pineal Melatonin Regulates when you sleep and when you wake, darkness and light Thymus Initiates immune system Stops working after puberty Thymosin Controls production of antibodies Insulin lowers blood sugar level, stimulate metabolism of protein, glucose, fat glucagon Raises level of blood sugar Medulla - adrenaline Responds to stressors (fright, anger, low blood sugar, caffeine) Cortex - corticosteroids (cortisone) Corticosteroids- anti-inflammatory aldosterone Aldosterone- balance of salt and water Testes- testosterone male characteristics like deepening of voice, hair (facial and pubic), penis and height growth, production of sperm Pancreas Adrenal Gonads Ovaries-estrogen progesterone Estrogen-female sexual characteristics and reproduction, breast and height growth, increase in body fat, and Progesterone-prepares uterus for fertilization and breast of lactation both regulate menstrual cycle Heart Hormones Atria release Type A Natriuretic Peptides  The human heart releases hormones  Type A and B Natriuretic Peptides  lower blood pressure  Ventricles release Type B Natriuretic Peptides Relaxes arterioles, stops absorption of sodium by kidneys, prevents secretion of renin and aldosterone Kidney Hormones  The kidney also releases hormones  Erythropoietin   Works in bone marrow to increase production of RBC Calcitriol   helps transfer calcium from bone to blood supports absorption of calcium from food in the intestines HOW DOES IT WORK?  body reacts to a stimulus brain sends instructions to endocrine system glands send feedback and react to stimulus  A specific hormone is then released into bloodstream and latch on to target cells  When level of hormone rises the hypothalamus sends message to pituitary   Tells organ to stop producing hormone When this process does not run smoothly then problems with the Endocrine System occur… Diabetes Diabetes -A disease in which the body does not produce or properly use insulin. Interesting Fact: 23.6 million children & adults in the United States, or 7.8% of the population, who have diabetes. Nearly one quarter of them have NOT been diagnosed. Insulin     What is Insulin? Insulin is a hormone that is necessary for converting sugar, starches and other food into energy. When we eat food, the body breaks down all of the sugars & starches into glucose. Glucose is the basic fuel for cells. Insulin’s job is to take the sugar from the blood into the cells. Glucose building up in the blood causes problems: Cells starved for energy High Blood Glucose Levels damage eyes, kidneys, nerves or heart. How Diabetes is Diagnosed Fasting Plasma Glucose Test (FPG)  Oral Glucose Test (OGTT)   Both require fasting beforehand.   FPG – Blood Glucose Level between 100-125 mg/dl signals pre-diabetes. BGL higher than 126 indicates definite diabetes. OGTT – Fast & Drink a glucose-rich beverage. If two hours after BGL is between 140-199 mg/dl means pre-diabetes. BGL of 200 mg/dl or higher, person has diabetes. o Mg/dl is milligrams per deciliter Type One Diabetes   Usually diagnosed in children & young adults Issue: Body does not produce Insulin Type Two Diabetes  Most common form of Diabetes  Issue: The body does not produce enough Insulin OR cells ignore the Insulin. Gestational Diabetes  Diagnosed in Pregnant women who have not had Diabetes before.  High Blood Sugar Level during Pregnancy  Affects about 4% of all pregnant women - about 135,000 cases of gestational diabetes in the United States each year. Hypoglycemia    AKA Low Blood Glucose Cannot prevent it from happening, but you can treat it before it gets worse. Symptoms include: Shakiness, Dizziness, Sweating, Hunger, Headache, Pale Skin Color, Sudden Behavioral Changes, Clumsy movements, Seizure, Confusion, & Tingling Sensations Around the Mouth Treatment: Glucose Tablets, Fruit Juice, Hard Candy. If you pass out, you need immediate treatment such as an injection of glucagon. DOES NOT give them food or liquids. Hyperglycemia    High Blood Glucose A result of the body not having enough insulin or not using the insulin properly. Can also be triggered by too much exercise, food, a cold/flu and stress. Symptoms: High Blood Sugar, High Levels of Sugar in Urine, Frequent Urination, Increased Thirst. Treatment: Exercise. If BGL is above 240 mg/dl, check urine for ketones. If ketones are present, DON’T exercise. Exercising while ketones are present could actually raise your BGL. Ketoacidosis       Diabetic Coma that occurs when the body does not have enough insulin. It is life threatening. Symptoms: Shortness of Breath, Breath that Smells Fruity, Nausea & Vomiting, and a Very Dry Mouth. Most common in Type 1 Diabetics, but can occur in Type 2s. Ketones – acids that build up in blood Appear in urine when the body doesn’t have enough insulin Treatment takes place in the hospital Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)    Mostly occurs in older persons, can occur in both types of Diabetes, but more frequently in Type 2. Triggered by an illness or infection. BGL rises, Body attempts to rid sugar from system through urine. Excretory System begins to over work itself, resulting in extreme Dehydration. Warning Signs: BGL over 600 mg/dl, Dry Mouth, Extreme Thirst, Warm Dry Skin, Fever, Sleepiness & Confusion, Loss of Vision, Hallucinations, & Weakness on One Side of the Body. Foot Problems        Foot Problems: Neuropathy Foot calluses Ulcers Skin changes Poor circulation Can lead to amputation Can increase circulation with special diabetic socks ↓ Diabetes Medications    Insulin: Beta Cells inside the Pancreas no longer make insulin or do not utilize it properly. Type 1 Diabetics inject Insulin Shots, Some Type 2 Diabetics need insulin. Sulfonylureas: Stimulate Beta Cells to make Insulin DPP-4 Inhibitors: Prevent breakdown of naturally occurring GLP-1. Only lowers BGL when necessary.  Aplha-Glucoside Inhibitors: Lower BGL by blocking the breakdown of starches in the intestine. Slows the rise in BGL after a meal.  Oral Combination Therapy: Combining any of the types of pills above.  Pills do not work for everyone. Treatment Methods Continued  Transplantation to replace malfunctioning parts:  Kidney  Pancreas  Islet Insulin Injection   Glucose tablets (such as Glucerna) when Blood Level Sugar drops  Healthy Diet  Exercise Blood Test with a glucose meter  Pancreatic Cancer Pancreatic Cancer Pancreas secretes hormones that regulate the metabolism of sugars and enzymes that help digestion  Leading cause of cancer death  In 2008: 37,680 new  cases  34,290 deaths http://www.mayoclinic.com/health/pancreatic-cancer/DS00357 http://www.cancer.gov/cancertopics/types/pancreatic Causes  Cells in the pancreas undergo a mutation and multiply, rapidly forming a tumor Pancreatic Cancer Cell Symptoms Symptoms usually do not appear until the cancer is advanced  Symptoms include:       Jaundice- yellowing of skin and whites of eyes Loss of appetite Weight loss Depression Upper abdominal pain Jaundice Eye Effects in the Body     Jaundice Pain in the abdomen Bowel obstruction- digested food that is blocked from getting into the intestines Weight loss- can be caused by vomiting or the body having trouble processing food Treatments  Placing a stent (tube) in small intestines to keep it open to prevent bowel obstruction  Chemotherapy- drugs used to kill the cancer cells  Radiation therapyhigh-energy beams used to kill cancer cells  Surgery- removing the tumor from the pancreas (only possible if cancer is found in the first stage) Treatments   Targeted drug therapy- drugs attack specific cancer cells within the body Clinical trials- patients participate in studies of new treatments in order to test their effectiveness Osteoporosis Osteoporosis  An endocrine disease that weakens bones and  makes them more prone to fracture Osteoporosis means “porous bone”  Technically defined as when bone mass decreases past -2.5 standard deviations below peak bone mass General Info    Osteoporosis is most common in women after menopause but can also effect men Every bone is at risk of weakening but the hip and spine are the most dangerous and some of the most common to break. 1 in 5 postmenopausal women suffer from Osteoporosis Causes  Decreased mineral content in bones make them weaker  This can happen because too many minerals are being reabsorbed into the body  Bones become weaker in women after menopause due to decrease in estrogen production  Estrogen is important to bone development because it prevents bone breakdown, and regulates bone re-absorption, which is how bone fluid is converted into blood fluid Causes  Men can suffer From Osteoporosis in the same way that women do, due to insufficient amounts of the hormones testosterone, and/or androgen. Causes  Bone Cycle defection- the body fails to produce the same amount of bone that is being used up over time.  In a healthy body, bone is replaced at the same rate that it deteriorates  Examples of defects in bone cycle  Lack of calcium and/or phosphate, which strengthen bone  Body does not properly absorb calcium or phosphate  Over absorption of minerals into body Causes  Low levels of Calcium can trigger the parathyroid gland to produce excess amounts of parathyroid hormone  Parathyroid hormone, or PTH, is responsible for maintaining calcium levels in the blood  When blood calcium levels are low, more PTH is produced, causing calcium to be drawn out of bone and into the bloodstream Symptoms   In early stages, no symptoms may be present Symptoms in later stages include: Back pain (resulting from weakened vertebrae) Loss of height (due to disk compression) Overall pain (due to bone compression throughout body) Fractures Hip fracture Prevention  Proper exercise is important in maintaining bone density  Sufficient intake of Vitamin D is necessary for calcium to be absorbed into bone  Sufficient intake of calcium is also necessary for bone growth and strength Treatment  Bisphosphonates  Most common drug treatment for osteoporosis  These drugs work by inhibiting osteoclast cells, which are responsible for bone resorption  Fosamax, Actonel and Boniva are examples Treatment  Hormone therapy  Not as popular as bisphophonate treatment due to side effects of hormones  Breast cancer is a possible side effect  Estrogen, and drugs that mimic it fall into this category  Hormone therapy works by replacing or mimicking the body’s hormones that decrease after menopause  These hormone promote healthy bone development Recap! The Endocrine System maintains homeostasis in the body and controls growth and development, tissue function, metabolism, sexual functions and reproductive processes, as well as mood The Endocrine System does this by releasing hormones, produced and secreted by Endocrine Glands, directly into the bloodstream When the Endocrine System is not working properly it can cause: Diabetes Growth Disorders Pancreatic Cancer Metabolic Syndrome Osteoporosis Many more Fertility / Infertility Problems (Visit http://www.noah-health.org/en/endocrine/ for a continued list of disorders) SOURCES              http://www.montana.edu/wwwai/imsd/alcohol/Vanessa/vwendocrine.htm http://www.som.tulane.edu/classware/pathology/medical_pathology/New_f or_99/endocrin/sld007.htm http://www.virtualcancercentre.com/anatomy.asp?sid=17 http://kidshealth.org/teen/your_body/body_basics/endocrine.html http://health.howstuffworks.com/adam-200091.htm http://training.seer.cancer.gov/module_anatomy/unit6_3_endo_glnds.html http://www.healthsystem.virginia.edu/uvahealth/adult_endocrin/chart.cfm http://www.becomehealthynow.com/article/bodynervousadvanced/956/ http://library.thinkquest.org/3007/endocrine.html http://pms.about.com/od/glossary/g/70807_hypothala.htm http://www.maexamhelp.com/id94.htm http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/K/KidneyHormones.ht ml http://content.revolutionhealth.com/contentimages/images-image_popupadrenal.jpg Sources cont.                http://www.diabetes.org/home.jsp http://www.diabetes.org/type-1-diabetes.jsp http://www.diabetes.org/type-2-diabetes.jsp http://www.diabetes.org/type-2-diabetes/complications.jsp http://www.diabetes.org/type-2-diabetes/treatment-conditions. http://www.emcom.ca/images/hormone.gif http://www.teachnet.ie/farmnet/images/Endocr2.gif http://static.howstuffworks.com/gif/adam/images/en/biliary-obstructionindication-picture.jpg http://www.nlm.nih.gov/medlineplus/ency/images/ency/fullsize/17156.jpg http://apps.uwhealth.org/health/adam/graphics/images/en/10274.jpg http://www.iposture.com/images/pho_learn_fh_osteoporosis-1-posture2.jpg http://www.nlm.nih.gov/MEDLINEPLUS/ency/images/ency/fullsize/18026.jpg http://www.assetchemist.co.uk/images/uploads/Actonel.bmp http://images.google.com/imgres?imgurl=http://www.genericmedicine.com/pima ges/Fosamax.gif&imgrefurl=http://www.genericmedicine.com/&h=98&w=158&sz=1 0&hl=en&start=9&usg=__dFewd8z4kluwgREMSODnrZdC78=&tbnid=8zSa7iZ_P1Jx9M:&tbnh=60&tbnw=97&prev=/images%3Fq% 3DFosamax%26gbv%3D2%26hl%3Den%26ie%3DUTF-8 http://www.boniva.com/images/boniva_logo.gif